NPI | 1568694610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247100000X Radiologic Technologist (Licence: LA 1168) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MS MRT4610) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2013-08-20 |